It’s time for GOP to accept reality of ObamaCare

Last spring, conservatives were certain that the U.S. Supreme Court would rule ObamaCare unconstitutional. It did not. Earlier this month, U.S. voters likewise refused to toss out the law’s prime architect, re-electing President Obama to another four-year term. Neither ObamaCare nor its namesake is going anywhere.

So now what?

While some Republicans acknowledge the fact that ObamaCare is now permanent, other GOP politicians seem intent on trying to sabotage the law through inaction even if they lack the support to repeal it. Last week, for example, Gov. Nathan Deal signed onto the strategy of passive resistance against the law when he announced that Georgia would refuse to exercise its authority under ObamaCare to create and operate its own insurance exchange.

The decision means that come 2014, Georgians who try to purchase private health insurance using federal subsidies will be required to compare and buy policies on a federally designed exchange, instead of an exchange that was specially tailored to and operated by Georgia. In short, Deal has chosen to view any cooperation in implementing ObamaCare as a form of collaboration with the enemy.

(UPDATE: The AJC’s Misty Williams has a piece in today’s paper explaining how a decision to reject the expansion of Medicaid also could devastate Georgia hospitals, such as Grady Memorial, that serve a poorer clientele.)

On the narrow question of creating a state version of the health insurance exchange, Deal might have made the right decision for the wrong reasons. While Georgia politicians were playing a delaying game, hoping that ObamaCare would be killed by the courts or the voters, other states that intend to launch their own exchanges have been working on the programs for months if not years. Trying to play catch-up at this point might very well not be worth Georgia’s investment of time, energy and political capital, particularly with a federal exchange as an backup option.

However, the larger and by far more consequential question involves Georgia’s participation in an expanded Medicaid program offered through ObamaCare beginning in 2014. If Georgia ultimately decides to take part, Medicaid coverage would be extended to an additional 600,000 lower-income Georgians. (For a family of four, households with an income of roughly $32,000 and below would be eligible for coverage.) Those Georgians would get covered at very little cost to state taxpayers.

Under ObamaCare, from 2014 to 2016 the federal government will pay 100 percent of the costs for insuring those additional Georgians. In later years, the share covered by the federal government will drop slightly — Uncle Sam will cover 95 percent of the cost in 2017, 94 percent in 2018, 93 percent in 2019 and then 90 percent from 2020 on out. (For comparison’s sake, Georgia pays a little over a third of the cost for current Medicaid recipients.)

Nonetheless, Deal announced at the Republican National Convention in August that Georgia would refuse to take advantage of the expanded Medicaid program. Even with the federal government paying all or most of the cost, Deal said, the state simply couldn’t afford the additional expense.

That’s a foolish decision, especially given that Georgia has the fifth highest rate of uninsured in the country. In effect, Deal would be denying health insurance coverage to some 600,000 Georgia citizens just to make a partisan political point. It also means turning away billions of federal dollars — an estimated $14.5 billion over the first six years — that would flow into the state’s health-care delivery system. That’s a benefit of particular importance to rural Georgia, where the health-care infrastructure is skeletal at best because so many residents are uninsured and have few resources from which to pay medical bills.

(UPDATE: The AJC’s Misty Williams has a piece in today’s paper explaining how a decision to reject the expansion of Medicaid also could devastate Georgia hospitals, such as Grady Memorial, that serve a poorer clientele.)

Deal’s explanation notwithstanding, it’s not a question of whether Georgia can afford it. It’s a question of political priorities. As Tim Sweeney of the Georgia Budget and Policy Institute points out, Georgia’s spending per Medicaid recipient in 2009 was already the second lowest in the country, which says a lot. It says that ObamaCare aside, the health of Georgia citizens simply isn’t important to those elected to lead this state, and if they have to deny health insurance to hundreds of thousands to prove it, harming the state economy in the process, they’re willing to do so.

658 comments Add your comment

F. Sinkwich

November 21st, 2012
8:14 am

“Deal’s explanation notwithstanding, it’s not a question of whether Georgia can afford it.”

Yeah it is. Both in treasure and freedom.

Jay

November 21st, 2012
8:15 am

“Freedom,” Sinkwich?

Please explain, in concrete terms.

Peadawg

November 21st, 2012
8:16 am

“It’s time for GOP to accept reality of ObamaCare”

I don’t think it’s just the GOP who are accepting reality. To put it simply, it’s going to be a pain in the ars.

Mary Elizabeth

November 21st, 2012
8:17 am

TO ALL READERS:

Good Morning and Happy Thanksgiving Eve to all. Just a few words from me today.

Yesterday, was a very unpleasant one for me on the blog, especially after I posted a piece based on Paul Krugman’s assessment that Republicans had raised the deficit deliberately to have entitlements cut. I knew I would get some reaction because this is the heart of the South afterall (and the land of denial on many issues), but the reaction I received was inappropriately intense. I did not read some of the initial remarks to me until late last evening. So I will respond now.

Alex had posted that I needed to read more books in order to be able to post on this blog. What I want him, and all, to know is that I have been a reader all my life. My personal library contains thousands of books. I was educated at New York University and City College of New York, as an English major, and I hold a double major in Theatre. I hold a Masters Degree from Georgia State University as a Reading Specialist. I am constantly reading. Presently, I am reading two books, one about George Washington (excerpts of which I have shared on this blog) and the other about Thomas Jeffferson by Jon Meacham, which has just been released. Having read many of Alex’s posts, it is my opinion that he would broaden his thinking beyond the stereotypical, if he were to read more books outside of the narrow range that he prefers, and certainly books published before 1992, which might give him more of a historical perspective.

In terms of the topic on which I posted yesterday about the deficit, I have read extensively enough to know that what Paul Krugman states, in that regard, is truth. It is truth that I am after, not balance, as some others might prefer. And, I particularly want truth exposed in the land of the South, which often is content to live out a surface reality based on lies. I have known the South intimately for 70 years so I know this to be true. I have read and have studied extensively enough to know that in the mid to late 1970s, a group of libertarian conservatives formed ALEC, and that David and Charles Koch have been major contributors to this organization’s stealthy purposes, as well as to think tanks, such as the Cato Institute, which have perpetuated their ideas and power to turn our nation into a nation in which government is viewed as the enemy of its people and has little impact in citizen’s lives. Their out-of-balance agenda found defeat, fortunately, in this past presidential election in spite of billions spent to continue to perpetuate that ideology. The defeat of that agenda happened only because many people started exposing this Republican ideological plan that had been stealthily hidden for decades. Jane Mayer’s New Yorker magazine article of August 30, 2010, entitled, “Covert Operations: The billionaire brothers who are waging a war against Obama,” was a primary means of that exposure. Voices such as mine are another, even if our circles of influence are much, much smaller than of Ms. Mayer. It is citizens such as I, who refuse to be silent, throughout our nation, who will keep our democracy alive, in a real way, within our democratic republic.

I plan to keep posting and keep quoting Paul Krugman because, knowing Georgia as well as I do, this is precisely the place where my thoughts and my links are most needed to be communicated.
In many ways, Georgia remains the “Closed Society,” as it was named in my youth.

———————————————————————————————————–

Brosephus™

November 21st, 2012
8:17 am

That’s a foolish decision, especially given that Georgia has the fifth highest rate of uninsured in the country.

That’s all based on your point of view. You have to realize that Deal may see himself as some kind of “Knight in Shining Armor” based on his actions. He’s likely never had to worry about insurance coverage. Who knows if he’s even had to deal with anybody who’s had to decide whether to buy food for the kids or pay for insurance.

maximum

November 21st, 2012
8:17 am

Freedom! Lucky Georgians will have the freedom to die without access to decent health care! Health care is a luxury you must earn, unless you work for Papa John’s …
Ha!

Mary Elizabeth

November 21st, 2012
8:18 am

TO JAY BOOKMAN:

I am asking you to stop the gratuitous insults to me, especially by ALEX as his remarks are not only erroneous but they are abusive. Stopping Josef’s inane put-downs toward me, in almost every post he writes of me, which I have endured for months, would also be appreciated.

Calling names and insulting others, as I did to both Alex and Josef yesterday, was not like me, generally, and it was not in keeping with the way I was raised nor with the principles of nonviolence that I hold most dear. I will respond to any poster, in the future, who will address me with both courtesy and respect, whether that person agrees with my point-of-view or not. Name-calling is unfortunate and destructive, whoever engages in it. I believe that stopping it needs to come from you, Jay, and not from me nor from others. I regret having lost patience and having indulged in name-calling, myself, yesterday, even to defend myself against it.

I will not be responding simply because I do not want to incur elevated blood pressure, as I sustained here yesterday. Thank you for considering this request.

stands for decibels

November 21st, 2012
8:18 am

It comes down to where Nathan Deal and his GOPers’ loyalties are–to their discredited, doomed ideology, or to the people of the state. If it’s the latter, they will see to it that Medicaid is expanded. If it is the former, then we the people have to boot them out of office at the next opportunity, and ignore the wailing of those who claim otherwise.

gadem

November 21st, 2012
8:22 am

Even though the governor and the party in charge are hurting the citizens of Georgia….the simple minded people of Georgia will continue to elect anyone with an (R) behind their name. They are for freedom except when they don’t agree with it. Terry Schiavo for instance.

#1 Foxy Lady

November 21st, 2012
8:22 am

Yes indeed. It is time to suck it, losers!

maximum

November 21st, 2012
8:22 am

Mary Elizabeth … if Republicans believed in reality, knowledge, or professional expertise, your well-reasoned efforts to inform might have some impact. Unfortunately, they still believe ignorance is bliss …

Goldie

November 21st, 2012
8:24 am

The GOP will become obsolete if it continues its small-minded obstructionism — and America will never be great again if the GOP controls the gov’t with their small-minded policies!

:(

Brosephus™

November 21st, 2012
8:25 am

If it is the former, then we the people have to boot them out of office at the next opportunity

As long as they have an (R) behind their name, they’re more likely to term limit out of office here.

Just sayin’

Thomas heyward Jr

November 21st, 2012
8:26 am

The majority of Americans did NOT vote for Barry Soetero.
.
And we will not stand-by and let a bunch of Chicago thugs/klepto/sociopathes screw up our medical care ..even more than Washington has already done.
.
There’s secesh fever in the air.
And it’s spreading.
.
Forward Freedom!

Mick

November 21st, 2012
8:26 am

sink

When obamacare saves your life, I expect a mea culpa…

Mick

November 21st, 2012
8:28 am

sink

Check that:

When obamacare saves your life or someone in your families life, I expect a mea culpa…

gtt

November 21st, 2012
8:28 am

“The decision means that come 2014, Georgians who try to purchase private health insurance using federal subsidies will be required to compare and buy policies on a federally designed exchange, instead of an exchange that was specially tailored to and operated by Georgia.”

Do you actually believe the government can build and implement the infrastructure to get this off the ground in time for open enrollment THIS October? Really? Pure fantasy.

Brosephus™

November 21st, 2012
8:28 am

The majority of Americans did NOT vote for Barry Soetero.

I don’t know of any state that had a Barry Soetero on the ballot, so it’s pretty safe to say that NO Americans voted for Barry Soetero, Capt. Obvious. Seems like you picked the wrong day to quit sniffing glue…

:roll:

stands for decibels

November 21st, 2012
8:29 am

Heyward? Like #1 Foxy Lady says. Only triple for you.

maximum

November 21st, 2012
8:30 am

TH Jr … tell us more about how denying reality is the path to success.

stands for decibels

November 21st, 2012
8:30 am

When obamacare saves your life or someone in your families life,

I dunno–being a member of Heyward’s immediate family, or dying? Tough choice.

stands for decibels

November 21st, 2012
8:31 am

But seriously. Annoy Nathan Deal about expanding Medicaid. Call him a fiscal moron if he doesn’t. He might respond to that.

(Mrs. sfd and I have have already started, we will continue.)

They BOTH suck

November 21st, 2012
8:32 am

Bro

Thomas is probably knee need into some Alex Jones NWO black helicopter conspiracy story right about now.

:-)

Brosephus™

November 21st, 2012
8:32 am

Do you actually believe the government can build and implement the infrastructure to get this off the ground in time for open enrollment THIS October? Really? Pure fantasy.

Well, given GOP intransigence over the whole healthcare issue, we don’t have any other option. If the GOP leaders had any common damned sense, they had more than enough time after the initial vote on the ACA to construct and implement their own “free market based” healthcare alternative to cut the ACA off at the knees. Instead, we had the GOP version of the Benny Hill chase scene trying to foil Obama and the Dems.

Goldie

November 21st, 2012
8:32 am

“There’s secesh fever in the air.”

Yeah, go ahead and renounce your U.S. citizenship and be gone from here already!

:)

indigo

November 21st, 2012
8:34 am

Governor Deal had a choice. He could accept Obamacare and do everything in his power to help all Georgia citizens to have adequate health care. Or, he could pander to the worst of his Party, look at Democrats and say “he’s your president, not mine”, and ignore the pain and suffering of Georgia’s uninsured and under-insured.

Needless to say, very few in the State of Georgia, either Democrats or Republicans, are surprised at this base and banal behavior.

Brosephus™

November 21st, 2012
8:34 am

They BOTH

:lol: :lol:

The only NWO that I can get with is the old WCW version with Hollywood Hogan, Kevin Nash, and Scott Hall.

http://www.youtube.com/watch?v=H7Kun-KqVtI

stands for decibels

November 21st, 2012
8:35 am

Mary Elizabeth, I know you find the online incivility distasteful and I can get behind that, but I fear you’re like the guy with the pitchfork at the beach trying to keep the keep the crap at bay, after some cruise ship’s septic tank has sprung a massive leak. You might make an impressive show but I don’t think it’ll work.

JMH

November 21st, 2012
8:35 am

Goldie, i’m sorry but I didn’t see any BIG ideas from the democrats during this election cycle? Maybe I wasn’t paying attention and you can fill me in on some of these BIG ideas the dems have to get our county moving in the right direction besides the same old tax the rich crap that plays well with the low information voters but we all know it won’t make a bit of difference unless we make huge cuts to the size of our current govt. Let’s hear some of these big ideas!

JohnnyReb

November 21st, 2012
8:35 am

Jay, you miss two significant points.

Governors are refusing to setup state run exchanges to push Congress to address the entirety of Obamacare. The bill provided zero funding for the federal run exchange. There will be debate on funding the exchange and the entirety of Obamacare since it already is costing much more than promised.

And please do tell us all just from where those Federal dollars will come from? Will Obama print them in the basement of the White House or will he pull them from his rear? You write like the true Liberal you are ignoring the Federal Government produces nothing and can only give when it has taken from another.

Welcome to the Occupation

November 21st, 2012
8:36 am

Deal is a dumb cracker. What do you expect?

DownInAlbany

November 21st, 2012
8:36 am

Do any of you have experience dealing with the federally run Medicare program? How about the state run Medicaid program? It is an absolute nightmare and it will only get worse. The government does such a good job of running these programs (dripping sarcasm).

Healthcare needs to be reformed. What we got instead is health insurance reform. They are much different subjects. I’m not against healthcare reform, but, the ACA misses the mark in so many ways.

Regnad Kcin

November 21st, 2012
8:37 am

Hey, where did Mr. Sinkwich go? :(

Keep Up the Good Fight!

November 21st, 2012
8:37 am

<i.Deal would be denying health insurance coverage to some 600,000 Georgia citizens just to make a partisan political point. It also means turning away billions of federal dollars — an estimated $14.5 billion over the first six years — that would flow into the state’s health-care delivery system. That’s a benefit of particular importance to rural Georgia, where the health-care infrastructure is skeletal at best because so many residents are uninsured and have few resources from which to pay medical bills

Perhaps if it include some money for landfills Deal might look out for Georgians?

saywhat?

November 21st, 2012
8:37 am

I, along with sinkwich and heyward, DEMAND that my fellow Georgians have the FREEDOM to die needlessly from easily preventable causes due to poverty! Don’t let Obama take this precious right away from them!!!!!

F. Sinkwich

November 21st, 2012
8:38 am

““Freedom,” Sinkwich?

Please explain, in concrete terms.”

Jay, once a state accepts the terms of expansion, it becomes a serf subject to the whim of federal nanny state bureaucrats.

Even though the majority of this country disagrees, free stuff ain’t free.

stands for decibels

November 21st, 2012
8:38 am

And please do tell us all just from where those Federal dollars will come from?

our government. We can issue currency. It is the standard by which the rest of the planet operates. At the moment we have to go out seven freaking years before we have to pay more than one (1) percent on a Treasury Bill. So we can continue to spend more without fear of inflation any time soon. We don’t have too many dollars chasing too few goods; quite the opposite actually.

So, you know, stop bitching about spending, and start being an American, already.

Granny Godzilla - Union Thugette

November 21st, 2012
8:38 am

GOP and reality in the same sentence.

What a concept.

There is a silver lining to this.

The more the GOP governors abdicate their responsibility in this to the federal government, the bigger the pool of insured will be, the more competitive the costs…..and the closer we get to a true public option.

Medicare for all!

Thanks Mr. Deal for bringing it closer.

JMH

November 21st, 2012
8:39 am

Mick, I don’t think Obamacare is going to save anyones life; I think the Dr’s will do that providing we have any available after they get their reimbursements cut and they decide to retire or get into another line of work. Good luck!

stands for decibels

November 21st, 2012
8:39 am

I really am starting to feel more and more like Paul Krugman every day. Really getting tired of this.

Granny Godzilla - Union Thugette

November 21st, 2012
8:39 am

Serfs?

He must have meant smurfs.

Regnad Kcin

November 21st, 2012
8:40 am

” it becomes a serf subject to the whim of federal nanny state bureaucrats.”

Mr. Sinkwich, what does ^^^that^^^ mean, when it makes sense?

They BOTH suck

November 21st, 2012
8:40 am

Some in the GOP are looking to see what mistakes are being made within their party, while others are just tripling down on the same ole, same ole.

Jay

November 21st, 2012
8:42 am

UPDATE: The AJC’s Misty Williams has a piece in today’s paper explaining how a decision to reject the expansion of Medicaid also could devastate Georgia hospitals, such as Grady Memorial, that serve a poorer clientele.

Marc

November 21st, 2012
8:42 am

Jay didn’t Obama say there would be no tax increases to the middle class. If so why is there a tax, 2.3%, on medical devices? This is paid by everyone and has already caused business that manufacturer and supply these to cut back on expansion. The edict on the new coverage standards for Medicare has caused large numbers of doctors and hospitals to drop these patients. Why no tort reform? Why no dental coverage there is a massive correlation between dental disease and heart and vascular problems? This is a pie in the sky plan that no one has a clue how much money it will actually cost. Pelosi was right we have to pass it to see how much it will cost our children. Thanks Democrats for another legacy of our generation poor stewardship of money.

Brosephus™

November 21st, 2012
8:42 am

Do any of you have experience dealing with the federally run Medicare program? How about the state run Medicaid program? It is an absolute nightmare and it will only get worse. The government does such a good job of running these programs (dripping sarcasm).

Ask the same about TriCare and see what responses you get. As to your statement on health insurance reform vs healthcare reform, I completely agree with you. I don’t like the ACA as I think it does nothing to help in the areas we really needed help. That said, the GOP would much better serve America by producing a viable alternative instead of simply doing their impression of a stubborn jackass. That impression helps America even less than the ACA does.

JamVet

November 21st, 2012
8:42 am

Please explain, in concrete terms.

One of the more humorous lines I’ve seen recently.

FSink and explain? In the same sentence?

That is a rib tickler.

Speaking of which, “…same old tax the rich crap that plays well with the low information voters but we all know it won’t make a bit of difference…”

Talk about someone who has yet to learn their lessons from two weeks ago!

But I do like the “low information voters” insult! It is so much more high brow than the tired old stupid and lazy moniker given to Americans by the right wingers…

Finn de Siècle (The System isn't Broken; It's Fixed)

November 21st, 2012
8:42 am

accept reality?

LOL

Now, that’s funny!

DannyX

November 21st, 2012
8:44 am

“Even though the majority of this country disagrees, free stuff ain’t free.”

Gov Deal loves free stuff! He gets free government housing, government insurance, free phone and cable. He also has a very nice no-bid government contract that he fiercely protects.

On the governing side he spent a lot of time in DC begging Obama for port dredging money and of course the big government Race to the Top education funds he said he wouldn’t accept.

maximum

November 21st, 2012
8:44 am

sfd … that’s hilarious! Science and reason kick ass!

DwayneL

November 21st, 2012
8:44 am

So everyone should be ready to accept freely higher healthcare costs and less choice? You people are freaking out of your mind!!!!

JMH

November 21st, 2012
8:44 am

stands for decibels….you need to go back and retake econ 101.

Jay

November 21st, 2012
8:45 am

In other words, Sink, you’re just chanting slogans.

F. Sinkwich

November 21st, 2012
8:46 am

Memo To: White House

Subject: Obamacare

Dear Barry,

Eff U.

Sincerely,

Governors Who Love America

JamVet

November 21st, 2012
8:47 am

I’m not against healthcare reform, but, the ACA misses the mark in so many ways.

Agreed.

SINGLE PAYER NOW.

Everyone in, no one out.

Unless the rabid righties wish to self deport…(grin)

Ronald Reagan Parkway

November 21st, 2012
8:47 am

It is time for Nathan Deal to be gone…This state should be smart enough not reelect him. Can anyone name 5 things things that he has done to make Georgia a better state?

Five things that he has gotten wrong
.
1. authorizing large revenue generating areas to form their own cities. (where will those new Charter Schools be built?)
2. changed the rules for the HOPE scholarship
3. cut deeply into the amount of funds for local governments education funding
4. created immigration laws that are one of the harsh in the U.S.
5. created an amendment (trick) for a state run Charter School Commission

Thomas heyward Jr

November 21st, 2012
8:47 am

stands for decibels

November 21st, 2012
8:30 am

When obamacare saves your life or someone in your families life,

I dunno–being a member of Heyward’s immediate family, or dying? Tough choice.
————————————————————————————————-
.
You could never be a part a my family.
We don’t whine to Washington for protection, free cheese, free BC, retirement plans, free medical, ………nor do any other real men.
.
Only metros/federos and other insecure girly men do that.
.
And don’t worry Bookman , the republicans will cave on obamacare….just like they always do.
They’re just getting the numbers/bribes right from the big three insurance companies.
.
The Majority of Americans have spoken……….. We reserve the right to opt out of your silly statist schemes.
And we will.
.
Forward Nullification!

JohnnyReb

November 21st, 2012
8:47 am

I see many here are sill basking in the artifical misunderstood glow of the Obama win. Here it is once again.

Obama won 26 states and DC (you don’t mean it) and gathered less than 51% of the popular vote.

That is not a mandate. It’s a big Electoral College win.

There is no huge overwhelming majority behind Obama. We are a country divided almost in half as to idiology.

The idea that Republican will just roll over and accept every kookie policy the Left puts forward is nothing short of la-la land.

F. Sinkwich

November 21st, 2012
8:48 am

“In other words, Sink, you’re just chanting slogans.”

Oh, no strings attached to accepting all that “free” federal money, Jay? Is that what you’re saying?

Jay

November 21st, 2012
8:48 am

We reserve the right to opt out of your silly statist schemes.
And we will.

I love the smell of silly romantic claptrap in the morning. It smells like … victory!

JMH

November 21st, 2012
8:48 am

Jamvet…explain to me how raising taxes on the RICH is going to create any more jobs? It’s not, it’s simply a way to appease the democrat base so they can feel like they are punishing someone. Just wait until the unemployment rate goes back up…who’s obama gonna blame then. Oh by the way there was almost 50% who voted against this tax the rich crap so don’t give me the america voted for this crap.

Roberto

November 21st, 2012
8:48 am

Will be there 2 lines at the gubmint doctors offices? One for Freeloaders and one for Producers?

Jay

November 21st, 2012
8:49 am

None that impinge on my freedom or yours, Sink.

DannyX

November 21st, 2012
8:50 am

“Oh, no strings attached to accepting all that “free” federal money, Jay? Is that what you’re saying?”

Like the half billion dollars in Race To The Top education funds?

stands for decibels

November 21st, 2012
8:50 am

You need to go back and retake econ 101.

Uh no. What you and the GOPers know about real-world macroeconomics wouldn’t fill a thimble, and I’m tired of having to deal with that stupidity.

DownInAlbany

November 21st, 2012
8:50 am

Brosephus™

November 21st, 2012
8:42 am

Ask the same about TriCare and see what responses you get. As to your statement on health insurance reform vs healthcare reform, I completely agree with you. I don’t like the ACA as I think it does nothing to help in the areas we really needed help. That said, the GOP would much better serve America by producing a viable alternative instead of simply doing their impression of a stubborn jackass. That impression helps America even less than the ACA does.

I have experience with Tricare as well. A very good example. The COST of healthcare is the issue, not the lack of insurance. People without insurance get treated every day. Yes, there are heart-breaking stories of people dying that were not offered life saving treatment because they were uninsured. But, the point is, when you need a cerified coder along with an administrative staff of 4 just to bill and collect for 5 providers, we’ve added a costly layer to the COST of healthcare. When hospital administrators are paid $+1 million a year…2 and 3 time more than physicians are paid. When you walk into a hospital lavished with italian marble and water fountains, you’ve added to the COST of healthcare. When needed drugs COST hundreds per month…

I could go on and on. The fact is the ACA does little if anything to address the COST of healthcare.

indigo

November 21st, 2012
8:52 am

Thomas heyward jr. – 8:26

Your home schooling is showing serious deficiencies. You are especially ignorant in History and the lessons it teaches us.

I suggest you get your parents to substantially increase your History studies. Pay particular attention to the phrase “let them eat cake”.

stands for decibels

November 21st, 2012
8:52 am

explain to me how raising taxes on the RICH is going to create any more jobs?

the teeny tiny tax hike being proposed is a small corrective measure that will make a teeny tiny change to the ongoing upward distribution of wealth.

What will create more jobs is more federal spending.

got that? good.

Thomas heyward Jr

November 21st, 2012
8:52 am

Jay

November 21st, 2012
8:48 am

We reserve the right to opt out of your silly statist schemes.
And we will.

I love the smell of silly romantic claptrap in the morning. It smells like … victory!
———————————————————————————–
.
And I smell and hear a……………………….vichy.

real john

November 21st, 2012
8:53 am

Jay:

However, the larger and by far more consequential question involves Georgia’s participation in an expanded Medicaid program offered through ObamaCare beginning in 2014. If Georgia ultimately decides to take part, Medicaid coverage would be extended to an additional 600,000 lower-income Georgians. (For a family of four, households with an income of roughly $32,000 and below would be eligible for coverage.) Those Georgians would get covered at very little cost to state taxpayers.

Under ObamaCare, from 2014 to 2016 the federal government will pay 100 percent of the costs for insuring those additional Georgians. In later years, the share covered by the federal government will drop slightly — Uncle Sam will cover 95 percent of the cost in 2017, 94 percent in 2018, 93 percent in 2019 and then 90 percent from 2020 on out. (For comparison’s sake, Georgia pays a little over a third of the cost for current Medicaid recipients.)”

Jay, your statement here is misleading. You say it won’t effect state taxpayers. Jay, whether or not it’s coming from my state income taxes or my federal income taxes, the bills still have to get paid. Talk about fuzzy math my liberal friend.

Anyone who thinks adding 600,000 low income people to Medicaid isn’t going to run up huge deficeits is living in la la land. And I thought liberals were supposed to be all into science and math.

USinUK - not very ladylike (and former Girl Scout)

November 21st, 2012
8:53 am

“Jay, once a state accepts the terms of expansion, it becomes a serf subject to the whim of federal nanny state bureaucrats.”

OH, FFS … do you think the same thing about all the highway funding GA gets from the feds?

stands for decibels

November 21st, 2012
8:53 am

by the way, my family actually has experienced healthcare via a Medicaid provider. (It was an admittedly very short period of time, when we were foster parents.)

We didn’t get cooties or anything. Actually, the pediatric doc was great.

So, you don’t necessarily have to be all skeered of that.

Whatever

November 21st, 2012
8:53 am

There is no federal money to call “free”. We are arguing over money that doesn’t even exist. It’s being made up out of thin air.

Get a fiddle Jay. Rome is burning.

Peadawg

November 21st, 2012
8:54 am

If only Obama and the Democrats had focused on jobs his first 2 years…..

JMH

November 21st, 2012
8:54 am

Jamvet- why are against individual responsibility? Are you not confident in your own ability? Can the overwhelming majority of americans not take care of themselves? I still don’t understand this Govt is the answer mentality.

Grow a pair and learn how to take care of yourself.

Happy Thanksgiving!

alex

November 21st, 2012
8:54 am

Deal says it’s not finanacially plausible, you say it is. Show us some cost numbers, projected 3-5 years.

I think a big challenge will be to find doctors to see this medicaid population, we will need plenty of NP’s and PA’s as this population will not be absorbed by physicians as the payment is too low and the patients are frequently non-compliant. Can’t disagree with Brosephus.Why would any rational person not prepare for both possibilities of the election.

If the federal govt. already has an exchange site, why duplicate their work, seems like a waste of time. Of course you COULD argue that Ga. could “refine ” it’s exchange..at what cost.. Jay, you slant and Deal talks about Ga. not “affording” the extra cost, NUMBERS please, not platitudes.

USinUK - not very ladylike (and former Girl Scout)

November 21st, 2012
8:54 am

“explain to me how raising taxes on the RICH is going to create any more jobs?”

explain to me how keeping it as it is or cutting it will – it hasn’t in 40 years, so why will it suddenly work now???

guy

November 21st, 2012
8:54 am

The feds have done so well managing the postal service,medicare-medicaid,the deficit,prescription drug program,and it goes on and on. I’m sure obamacare will be run accordingly. Remember, the government is the answer for all our needs.One day this same government will take it all away!

stands for decibels

November 21st, 2012
8:54 am

Rome is burning.

No it is not. We are the richest, most powerful nation ever on earth.

Stop acting like you live in f-cking Somalia.

stands for decibels

November 21st, 2012
8:55 am

If only Obama and the Democrats had focused on jobs his first 2 years…

again with this?

The Recovery Act. Ring a bell? It wasn’t big enough, but it was the very first major piece of legislation Obama and the Dems passed. Without it, we’d have been in Great Depression II: Electric Boogaloo.

USinUK - not very ladylike (and former Girl Scout)

November 21st, 2012
8:56 am

“The feds have done so well managing the postal service,medicare-medicaid,the deficit,prescription drug program,and it goes on and on.”

the deficit is a federal program??? who knew.

as far as the USPS, they have seen a seismic shift in how people communicate and pay bills – of course they’re trying to restructure to address it. in the meantime, do they still come to YOUR house and pick up YOUR mail and deliver it anywhere you want for next to nothing??? yes. so quit yer bitchin.

GT/MIT

November 21st, 2012
8:57 am

Jay Bookman
“It’s time for GOP to accept reality of ObamaCare

No one yet knows the “reality” of ObamaCare, not the Democrats who passed it and certainly not you nor I. We shall accept the inevitability thereof but I fear the reality will indeed be much harder for all of us to accept.

JamVet

November 21st, 2012
8:57 am

Re, wake up.

The most extremist/embarrassing of your congressional cons just got sent packing, almost to a man. Were you not paying attention?

Americans are sick of you rabid America-bashers.

Stay extreme, my friends. (It is working out great for you…)

Jamvet…explain to me how raising taxes on the RICH is going to create any more jobs?

NO.

YOU do that. Apparently, as you are the one advocating it does, or doesn’t.

It’s not, it’s simply a way to appease the democrat base so they can feel like they are punishing someone.

You seem VERY confused. I suggest that you review the actual definitions of two words – punish and justice. I advocate for economic justice. For all. What you advocate for, is difficult to say. I presume the imperial and imperious banksters and those who hide their money overseas and enjoy endless tax dodges.

That YOU do not get.

Occupy that…

Regnad Kcin

November 21st, 2012
8:57 am

The cuckoo is strong today…

stands for decibels

November 21st, 2012
8:58 am

Can the overwhelming majority of americans not take care of themselves?

no, nobody can. Not for long anyway. Sooner or later some wild beast eats you.

That is why we have civilization, aka governance.

Why are people so stupid that they can’t grasp something as simple as this?

Thomas heyward Jr

November 21st, 2012
8:58 am

stands for decibels

November 21st, 2012
8:54 am

Rome is burning.

No it is not. We are the richest, most powerful nation ever on earth.

Stop acting like you live in f-cking Somalia.
——————————————————-
.
There’s that latent racism again.
.
sheeeesh.

williebkind

November 21st, 2012
8:58 am

” It is citizens such as I, who refuse to be silent, throughout our nation, who will keep our democracy alive, in a real way, within our democratic republic.”

A democratic republic? Did you read this in one of your history books or did Sorros tell you this? Your elegance of speech (like Obama) or your knowledge of the written word(the manta for progressive liberals) cannot forever deceive the American people. The North, who are really morons, do not know any American history or current events. If it was not for the egocentric northerners this indeed would be the land of opportunity.

USinUK - not very ladylike (and former Girl Scout)

November 21st, 2012
8:59 am

“again with this?”

yes.

THBAEOSATSQ

F. Sinkwich

November 21st, 2012
8:59 am

“OH, FFS … do you think the same thing about all the highway funding GA gets from the feds?”

Thanks for proving my point. You too Dannie.

JamVet

November 21st, 2012
9:00 am

guy, on behalf of non-Republicans everywhere, keep up the great work!

Bashing Uncle Sam endlessly and denigrating this country and her people is working out fantastically for you and your party!

Stay extremist, my friends…

USinUK - not very ladylike (and former Girl Scout)

November 21st, 2012
9:00 am

FSINK – 8:59 – again – how does accepting highway funding impede YOUR freedom

Steve Smith

November 21st, 2012
9:01 am

The problem is that the ACA is not insurance, there is no underwriting, and without ’selection’ you don’t have insurance-but what do you expect when you are dealing with Maoists?

JamVet

November 21st, 2012
9:02 am

Jamvet- why are against individual responsibility?

Hard to say, isn’t it?

Given what I have accomplished in my life since enlisting in the US military at age 17.

Why are you reduced to such childish discourse?

Citizen of the World

November 21st, 2012
9:02 am

I’m getting pretty fed up with Nathan Deal. Not that I ever thought he had any real desire to serve, but he needs to quit focusing so much on lining his friends’ pockets by putting them in cushy positions for which they are ill qualified (can anyone say “heckofajob”?) and start working on some things for the people.

Peadawg

November 21st, 2012
9:02 am

I get that Stands. But instead of focusing on this monstrosity of a bill that’s anything but affordable they should have focus on jobs, getting people back to work, and paying down debt with the new taxes collected from people working. Then in his 2nd term focus on health care with a single payer once we could afford it.

Doug B

November 21st, 2012
9:02 am

Who pays for all of the people without health insurance? You and I do in the form of higher costs for us. And we pay more for it when the uninsured go to the hospital than if they received proper preventive care. So Deal’s decision means that “we the people” will pay more for the health care of those 100s of thousands to whom he denied coverage. Is he working for the GOP or for us?

Nathan Deal is not leading Georgia in the right direction

November 21st, 2012
9:02 am

Nathan Deal + Bad Policies = ONE TERM and not a day more.

JMH

November 21st, 2012
9:03 am

decibels- how are we the richest nation on earth if we borrow 40% of what we spend with no plan get our budget (none passed in the last 4 years) in order. More govt is not the answer I can promise you that.
The fact that we have a very high per capita income is great but that’s in decline and eventually we will be like Greece or Spain with 20%+ unemployement and people like you rioting in the streets becasue some of your govt benefits have been taken away or reduced.

guy

November 21st, 2012
9:03 am

Some of you think this country is bullet proof. Rome is not burning,I agree. America is burning with an invisable fire!

real john

November 21st, 2012
9:03 am

How is it that liberals act like getting federal money is somehow “free?”

I hate to inform Jay, but all of this “free” money coming from the feds he mentions in this article still has to be paid for; its just being paid out of my federal income taxes, instead of state income taxes